Reception area of Healthy Sleep Care with two smiling women, one in a blue uniform and another in white, behind a marble-topped desk. Decor includes a large framed painting of water lilies, a glass table with notebooks, a vase with flowers, and framed awards on the wall.

Forms | Payment | Referring Physicians | Upload a file

New Patient

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New Patient Application
Sleep Intake Form

Forms

  • These recommendations and life style choices help with physiology of your sleep and habits and support better sleep - Download PDF - You can only use this is directed by our doctors in the clinic

  • Downlaod form

  • Thanks for trusting us with health of your patient. Please use this referring form and attach clinical notes and insurance to our offices. Please fax to our updated electronic fax at 888-990-1536

  • Click this link to upload a file securely

  • Please use this LINK to download a copy of sleep diary if instructed by our team.

  • View/download useful information here

  • If directed by us, fill your forms here and review results with doctor on the next follow up.
    Notice: this forms are to only used by our established patients.

  • Download

Doctor reviewing sleep study report on a tablet in a medical office.

Payment

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Please be advised we do not store credit card informations

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Referring Clinicians

Referring Clinicians

We welcome referrals for sleep evaluation, particularly for patients whose diagnosis, symptoms, or treatment remain difficult despite routine management.

Consider referral for:

  • Suspected Sleep Apnea or Sleep Disordered Breathing

  • PAP intolerance, PAP failure, or persistent symptoms despite treatment

  • Central or complex sleep apnea

  • Persistent daytime sleepiness despite adequately treated OSA

  • Suspected narcolepsy or other hypersomnolence disorders

  • Chronic or treatment-resistant insomnia

  • Parasomnias and unusual nocturnal behaviors

  • Circadian and shift-work disorders

  • Sleep disorders complicated by neurologic, psychiatric, or complex medical conditions

  • Sleep-medicine second opinions

We communicate our assessment and treatment recommendations back to the referring clinician and can provide ongoing specialty management when appropriate.

Download Referral Slip
Referring Clinician Flyer